Effects of piezocision in orthodontic tooth movement: A systematic review of comparative studies

Daniel-Santos-Fonseca Figueiredo, Ricardo-Gontijo Houara, Larissa-Salgado-da Mata-Cid Pinto, Amanda-Rafaela Diniz, Vânia-Eloisa de Araújo, Lehana Thabane, Rodrigo-Villamarim Soares, Dauro-Douglas Oliveira, Daniel-Santos-Fonseca Figueiredo, Ricardo-Gontijo Houara, Larissa-Salgado-da Mata-Cid Pinto, Amanda-Rafaela Diniz, Vânia-Eloisa de Araújo, Lehana Thabane, Rodrigo-Villamarim Soares, Dauro-Douglas Oliveira

Abstract

Background: The aim of this systematic review was to evaluate the effects of piezocision in accelerating orthodontic tooth movement (OTM) and its possible adverse effects.

Material and methods: The Databases Medline, Embase, CENTRAL and LILACS were searched until March 2019, for randomized controlled trials (RCTs) and controlled clinical trials (CCTs) that used piezocision associated with orthodontic treatment. A manual search was also performed. The search, studies selection, assessment of risk of bias and data collection were carried out by two independent reviewers.

Results: Eleven publications were included in this review (4 CCTs and 7 RCTs). No study presented low risk of bias. Different types of tooth movement were evaluated: lower anterior alignment, en-masse retraction, overall orthodontic treatment and canine distalization. A total of 240 participants were analyzed in the included studies. Seven studies found significant acceleration in the piezocision group, while two studies found no differences. Adverse effects regarding patient's satisfaction, pain perception, or worsening of periodontal parameters were not observed. There was no consensus concerning anchorage loss and root resorption.

Conclusions: The literature does not provide high-quality evidence to confirm that Piezocision results in significant OTM acceleration. Therefore, high-quality RCTs should be conducted to allow reliable conclusions about the effects of piezocision in orthodontics. Key words:Piezosurgery, tooth movement techniques, orthodontics.

Conflict of interest statement

Conflict of interest statement:The authors declare that they have no competing interests.

Copyright: © 2019 Medicina Oral S.L.

Figures

Figure 1
Figure 1
PRISMA flow diagram of the literature selection process.
Figure 2
Figure 2
Risk of bias summary of RCT studies included.

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Source: PubMed

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